On Tuesday the longlist for the 2019 Wellcome Book Prize will be announced. For the third year in a row I’m running a shadow panel, and it’s composed of the same four wonderful book bloggers who joined me last year: Paul Cheney of Halfman, Halfbook, Annabel Gaskell of Annabookbel, Clare Rowland of A Little Blog of Books, and Dr. Laura Tisdall.

This year we’re going to do things slightly differently: we plan to split up the longlist, taking two to three titles each, so that between us we will have read them all and can announce our own preferred shortlist before the official shortlist is announced in March. At that point we’ll catch up by (re)reading the six shortlisted books, each reviewing the ones we haven’t already. Essentially, I’m adding an extra stage of shadow panel judging, simply because I can. I hope it will be fun – and also less onerous, in that we should get a leg-up on the shortlist and not have to read all six books in March‒April, which has proved to be a challenge in the past.

My Wellcome Prize hopefuls are all the fiction or nonfiction titles I’ve read on a medical theme that were published in the UK in calendar year 2018. I have put asterisks beside the 12 books in this post that I predict for the longlist. (The combination of wishful thinking and likelihood means that these are not exclusively my personal favorites.)

Below is a list of the books I’ve already featured on the blog in some way, with links to my coverage and a few-word summary of their relevance.

Other eligible books that I have read but not happened to mention on the blog:

In Shock by Rana Awdish: The doctor became the patient when Awdish, seven months pregnant, was rushed into emergency surgery with excruciating pain due to severe hemorrhaging into the space around her liver, later explained by a ruptured tumor. Having experienced brusque, cursory treatment, even from colleagues at her Detroit-area hospital, she was convinced that doctors needed to do better. This memoir is a gripping story of her own medical journey and a fervent plea for compassion from medical professionals.

Doctor by Andrew Bomback: Part of the Bloomsbury Object Lessons series, this is a wide-ranging look at what it’s like to be a doctor. Bomback is a kidney specialist; his wife is also a doctor, and his father, fast approaching retirement, is the kind of old-fashioned, reassuring pediatrician who knows everything. Even the author’s young daughter likes playing with a stethoscope and deciding what’s wrong with her dolls. In a sense, then, Bomback uses fragments of family memoir to compare the past, present and likely future of medicine.

A Moment of Grace by Patrick Dillon [skimmed]: A touching short memoir of the last year of his wife Nicola Thorold’s life, in which she battled acute myeloid leukemia. Dillon doesn’t shy away from the pain and difficulties, but is also able to summon up some gratitude.

Get Well Soon: Adventures in Alternative Healthcare by Nick Duerden: British journalist Nick Duerden had severe post-viral fatigue after a run-in with possible avian flu in 2009 and was falsely diagnosed with ME / CFS. He spent a year wholeheartedly investigating alternative therapies, including yoga, massage, mindfulness and meditation, visualization, talk therapy and more. He never comes across as bitter or sorry for himself. Instead, he considered fatigue a fact of his new life and asked what he could do about it. So this ends up being quite a pleasant amble through the options, some of them more bizarre than others.

*Sight by Jessie Greengrass [skimmed]: I wanted to enjoy this, but ended up frustrated. As a set of themes (losing a parent, choosing motherhood, the ways in which medical science has learned to look into human bodies and minds), it’s appealing; as a novel, it’s off-putting. Had this been presented as a set of autobiographical essays, perhaps I would have loved it. But instead it’s in the coy autofiction mold where you know the author has pulled some observations straight from life, gussied up others, and then, in this case, thrown in a bunch of irrelevant medical material dredged up during research at the Wellcome Library.

*Brainstorm: Detective Stories From the World of Neurology by Suzanne O’Sullivan: Epilepsy affects 600,000 people in the UK and 50 million worldwide, so it’s an important condition to know about. It is fascinating to see the range of behaviors seizures can be associated with. The guesswork is in determining precisely what is going wrong in the brain, and where, as well as how medicines or surgery could address the fault. “There are still far more unknowns than knowns where the brain is concerned,” O’Sullivan writes; “The brain has a mind of its own,” she wryly adds later on. (O’Sullivan won the Prize in 2016 for It’s All in Your Head.)

I’m also currently reading and enjoying two witty medical books, The Mystery of the Exploding Teeth and Other Curiosities from the History of Medicine by Thomas Morris, and Chicken Unga Fever by Phil Whitaker, his collected New Statesman columns on being a GP.

Four additional books I have not read but think might have a chance of making the longlist:

Primate Change: How the World We Made Is Remaking Us by Vybarr Cregan-Reid

Below I’ve chosen my 12 favorite nonfiction books published in 2018. You’ll be unsurprised to learn that half of them have a medical theme. Many have already featured on my blog in some way over the course of the year. To keep things simple, as I’ve done in previous years, I’m limiting myself to two sentences per title: a potted summary plus why you should read it. Let the countdown begin!

12. The Line Becomes a River by Francisco Cantú: Francisco Cantú was a U.S. Border Patrol agent for four years in Arizona and Texas. Impressionistic rather than journalistic, his book is a loosely thematic scrapbook that, in giving faces to an abstract struggle, argues passionately that people should not be divided by walls but united in common humanity.

11. Bookworm by Lucy Mangan: Mangan takes us along on a nostalgic chronological tour through the books she loved most as a child and adolescent. No matter how much or how little of your early reading overlaps with hers, you’ll appreciate her picture of the intensity of children’s relationship with books – they can completely shut out the world and devour their favorite stories over and over, almost living inside them, they love and believe in them so much – and her tongue-in-cheek responses to them upon rereading them decades later.

10. Everything Happens for a Reason: And Other Lies I’ve Loved by Kate Bowler: An assistant professor at Duke Divinity School, Bowler was fascinated by the idea that you can claim God’s blessings, financial and otherwise, as a reward for righteous behavior and generosity to the church (“the prosperity gospel”), but if she’d been tempted to set store by this notion, that certainty was permanently fractured when she was diagnosed with stage IV colon cancer in her mid-thirties. Bowler writes tenderly about suffering and surrender, about living in the moment with her husband and son while being uncertain of the future.

9. Gross Anatomy by Mara Altman: Through a snappy blend of personal anecdotes and intensive research, Altman exposes the cultural expectations that make us dislike our bodies, suggesting that a better knowledge of anatomy might help us feel normal. It’s funny, it’s feminist, and it’s a cracking good read.

8. The Unmapped Mind by Christian Donlan: Donlan, a Brighton-area video games journalist, was diagnosed with (relapsing, remitting) multiple sclerosis in 2014; he approaches his disease with good humor and curiosity, using metaphors of maps to depict himself as an explorer into uncharted territory. This is some of the best medical writing from a layman’s perspective I’ve ever read.

7. Skybound by Rebecca Loncraine: For Rebecca Loncraine, after treatment for breast cancer in her early thirties, taking flying lessons in an unpowered glider (everywhere from Wales to Nepal) was a way of rediscovering joy and experiencing freedom by facing her fears in the sky. Each year seems to bring one exquisite posthumous memoir about facing death with dignity; this is a worthwhile successor to When Breath Becomes Air et al.

6. Face to Face by Jim McCaul: Eighty percent of a facial surgeon’s work is the removal of face, mouth and neck tumors in surgeries lasting eight hours or more; McCaul also restores patients’ appearance as much as possible after disfiguring accidents. This is a book that inspires wonder at all that modern medicine can achieve.

5. That Was When People Started to Worry by Nancy Tucker: Tucker interviewed 70 women aged 16 to 25 for a total of more than 100 hours and chose to anonymize their stories by creating seven composite characters who represent various mental illnesses: depression, bipolar disorder, self-harm, anxiety, eating disorders, PTSD and borderline personality disorder. Reading this has helped me to understand friends’ and acquaintances’ behavior; I’ll keep it on the shelf as an invaluable reference book in the years to come.

4. Free Woman by Lara Feigel: A familiarity with the works of Doris Lessing is not a prerequisite to enjoying this richly satisfying hybrid of biography, literary criticism and memoir. Lessing’s The Golden Notebook is about the ways in which women compartmentalize their lives and the struggle to bring various strands into harmony; that’s what Free Woman is all about as well.

3. Implosion by Elizabeth W. Garber: The author endured sexual and psychological abuse while growing up in a glass house designed by her father, Modernist architect Woodie Garber – a fascinating, flawed figure – outside Cincinnati in the 1960s to 1970s. This is definitely not a boring tome just for architecture buffs; it’s a masterful memoir for everyone.

2. Educated by Tara Westover: Westover writes with calm authority, channeling the style of the scriptures and history books that were formative in her upbringing and education as she tells of a young woman’s off-grid upbringing in Idaho and the hard work that took her from almost complete ignorance to a Cambridge PhD. This is one of the most powerful and well-written memoirs I’ve ever read.

It was a real toss-up between Westover and this one, but since Educated has already gotten a ton of attention this year, I’ve awarded the title of nonfiction book of the year to:

1. Under the Rock by Benjamin Myers: A spell-bindingly lyrical book that ranges from literature and geology to true crime but has an underlying autobiographical vein. Its every sentence is well-crafted and memorable; this isn’t old-style nature writing in search of unspoiled places, but part of a growing interest in the ‘edgelands’ where human impact is undeniable but nature is creeping back in.

My 2018 nonfiction books of the year (the ones I own in print, anyway).

Here’s a quick look back at a baker’s dozen of 2018 releases that have stood out most for me so far. I’ve linked to books that I’ve already reviewed in full on the blog or elsewhere.

Fiction:

The Only Story by Julian Barnes: A familiar story: a May–December romance fizzles out. A sad story: an idealistic young man who swears he’ll never be old and boring has to face that this romance isn’t all he wanted it to be. A love story nonetheless. Paul met 48-year-old Susan, a married mother of two, at the local tennis club when he was 19. The narrative is partly the older Paul’s way of salvaging what happy memories he can, but also partly an extended self-defense. Barnes takes what could have been a dreary and repetitive story line and makes it an exquisitely plangent progression: first-person into second-person into third-person. The picture of romantic youth shading into cynical but still hopeful middle age really resonates, as do the themes of unconventionality, memory, addiction and pity.

The Immortalists by Chloe Benjamin: Summer 1969: four young siblings escape a sweltering New York City morning by visiting a fortune teller who can tell you the day you’ll die. In the decades that follow, they have to decide what to do with this advance knowledge: will it spur them to live courageous lives, or drive them to desperation? This compelling family story lives up to the hype. Imagine the fun Benjamin had researching four distinct worlds: Daniel, a military doctor, examines Iraq War recruits; Klara becomes a magician in Las Vegas; Varya researches aging via primate studies; and Simon is a dancer in San Francisco. The settings, time periods, and career paths are so diverse that you get four novels’ worth of interesting background.

Florida by Lauren Groff: Two major, connected threads in this superb story collection are ambivalence about Florida, and ambivalence about motherhood. There’s an oppressive atmosphere throughout, with environmental catastrophe an underlying threat. Set-ups vary in scope from almost the whole span of a life to one scene. A dearth of named characters emphasizes just how universal the scenarios and emotions are. Groff’s style is like a cross between Karen Russell’s Swamplandia! and Cormac McCarthy’s The Road, and her unexpected turns of phrase jump off the page. A favorite was “Above and Below,” in which a woman slips into homelessness. Florida feels innovative and terrifyingly relevant. Any one of its stories is a bracing read; together they form a masterpiece.

Motherhood by Sheila Heti: Should one have children? Should I have children? No matter who’s asking the questions or in what context, you’re going to get the whole gamut of replies. Heti’s unnamed heroine consults a fortune teller and psychics, tosses coins and interprets her dreams as The Decision looms. Chance, inheritance, and choice vie for pride of place in this relentless, audacious inquiry into the purpose of a woman’s life. I marked out dozens of quotes that could have been downloaded directly from my head or copied from my e-mails and journal pages. The book encapsulates nearly every thought that has gone through my mind over the last decade as I’ve faced the intractable question of whether to have children. Heti has captured brilliantly what it’s like to be in this situation in this moment in time.

Orchid & the Wasp by Caoilinn Hughes: The action spans about nine years: a politically turbulent decade that opens with the Iraq War protests and closes with the Occupy movement in New York City. Gael Foess, our lovable antiheroine, is a trickster. She’s learned well her banker father’s lesson that money and skills don’t get distributed fairly in this life, so she’s going to do what she can to ensure that her loved ones succeed. Art, music, religion and health are major interlocking themes. The author is wonderfully adept at voices, and the book’s frenetic pace is well matched by the virtuosic use of language – wordplay, neologisms, and metaphors drawn from the arts and nature. Hughes is an exciting writer who has rightfully attracted a lot of buzz for her debut.

The Italian Teacher by Tom Rachman: Charles “Pinch” Bavinsky is just an Italian teacher, though as a boy in Rome in the 1950s–60s he believed he would follow in the footsteps of his sculptor mother and his moderately famous father, Bear Bavinsky, who paints close-ups of body parts. We follow Pinch through the rest of his life, a sad one of estrangement, loss and misunderstandings – but ultimately there’s a sly triumph in store for the boy who was told that he’d never make it as an artist. Rachman jets between lots of different places – Rome, New York City, Toronto, rural France, London – and ropes in quirky characters in the search for an identity and a place to belong. This is a rewarding story about the desperation to please, or perhaps exceed, one’s parents, and the legacy of artists in a fickle market.

The ‘bests’ that I happen to own in print.

Nonfiction:

The Line Becomes a River by Francisco Cantú: Francisco Cantú was a U.S. Border Patrol agent for four years in Arizona and Texas. Impressionistic rather than journalistic, his book is a loosely thematic scrapbook. He inserts snippets of U.S.–Mexico history, including the establishment of the border, and quotes from other primary and secondary texts. He also adds in fragments of his family’s history: His ancestors left Mexico during the Mexican Revolution of the 1910s, but there’s no doubt his Latino name and features made him a friendly face for illegal immigrants. The final third of the book makes things personal when his friend is detained in Mexico. Giving faces to an abstract struggle, this work passionately argues that people should not be divided by walls but united in common humanity.

The Unmapped Mind by Christian Donlan: Some of the best medical writing from a layman’s perspective I’ve ever read. Donlan, a Brighton-area video games journalist, was diagnosed with (relapsing, remitting) multiple sclerosis in 2014. “I think sometimes that early MS is a sort of tasting menu of neurological disease,” Donlan wryly offers. He approaches his disease with good humor and curiosity, using metaphors of maps to depict himself as an explorer into uncharted territory. The accounts of going in for an MRI and a round of chemotherapy are excellent. Short interludes also give snippets from the history of MS and the science of neurology in general. What’s especially nice is how he sets up parallels with his daughter’s early years. My frontrunner for next year’s Wellcome Book Prize so far.

Free Woman by Lara Feigel: Doris Lessing lived by ideals of free love and Communism, but it came at the price of abandoning her children. Lara Feigel could identify with Lessing in some ways, and as she entered a rocky time in her mid-thirties – a miscarriage followed by IVF, which was a strain on her marriage; the death of a close friend; ongoing worry over how motherhood might affect her academic career – she set out to find what Lessing could teach her about how to be free. A familiarity with the works of Doris Lessing is not a prerequisite to enjoying this richly satisfying hybrid of biography, literary criticism and memoir. The Golden Notebook is about the ways in which women compartmentalize their lives and the struggle to bring various strands into harmony; that’s what Free Woman is all about as well.

Implosion by Elizabeth W. Garber: The author grew up in a glass house designed by her father, Modernist architect Woodie Garber, outside Cincinnati in the 1960s to 70s. This and Woodie’s other most notable design, Sander Hall, a controversial tower-style dorm at the University of Cincinnati that was later destroyed in a controlled explosion, serve as powerful metaphors for her dysfunctional family life. Woodie is such a fascinating, flawed figure. Garber endured sexual and psychological abuse yet likens him to Odysseus, the tragic hero of his own life. She connected with him over Le Corbusier’s designs, but it was impossible for a man born in the 1910s to understand his daughter’s generation. This definitely is not a boring tome just for architecture buffs. It’s a masterful memoir for everyone.

Skybound by Rebecca Loncraine: Each year seems to bring one exquisite posthumous memoir about facing death with dignity. For Rebecca Loncraine, after treatment for breast cancer in her early thirties, taking flying lessons in an unpowered glider was her way of rediscovering joy and experiencing freedom by facing her fears in the sky. She discovered a particular love for flying alongside birds: red kites in Wales, and vultures in Nepal. The most remarkable passages of the book are the exhilarating descriptions of being thousands of feet up in the air and the reflections on why humans are drawn to flight and what it does for our bodies and spirits. Loncraine had virtually finished this manuscript when her cancer returned; she underwent another 14 grueling months of treatment before her death in September 2016.

Bookworm by Lucy Mangan: Mangan takes us along on a nostalgic chronological tour through the books she loved most as a child and adolescent. No matter how much or how little of your early reading overlaps with hers, you’ll appreciate her picture of the intensity of children’s relationship with books – they can completely shut out the world and devour their favorite stories over and over, almost living inside them, they love and believe in them so much – and her tongue-in-cheek responses to them upon rereading them decades later. There are so many witty lines that it doesn’t really matter whether you give a fig about the particular titles she discusses or not. A delightful paean to the joys of being a lifelong reader; recommended to bibliophiles and parents trying to make bookworms out of their children.

Educated by Tara Westover: This is one of the most powerful and well-written memoirs I’ve ever read. It tells of a young woman’s off-grid upbringing in Idaho and the hard work that took her from almost complete ignorance to a Cambridge PhD. Westover’s is an incredible story about testing the limits of perseverance and sanity. Her father may have been a survivalist, but her psychic survival is the most impressive outcome here. What takes this astonishing life story to the next level, making it a classic to sit alongside memoirs by Alexandra Fuller, Mary Karr and Jeannette Walls, is the writing. Westover writes with calm authority, channeling the style of the scriptures and history books that were formative in her upbringing and education.

I have read some truly phenomenal memoirs this year, most of them by women. These two have rather different starting points – frustration with the constraints of marriage and motherhood, and breast cancer treatment – but I’ve paired them because both are journeys of self-discovery in which the author commits to determining how to live a free and true life.

Free Woman: Life, Liberation and Doris Lessing by Lara Feigel

It started with a spate of weddings one summer. Lara Feigel, a literature lecturer at King’s College London, found herself strangely irked at all this capitulation to marital convention, even though she herself had married in her twenties and had a young son. What did her mild outrage signify? At the same time, she was rereading the works of Doris Lessing, whom she found simultaneously admirable and vexing: Lessing lived by her ideals of free love and Communism, but it came at the price of abandoning her children. Feigel could identify with Lessing in some ways but not in others, and as she entered a rocky time in her mid-thirties – a miscarriage followed by IVF, which was a strain on her marriage; the death of a close friend; and ongoing worry over how motherhood might affect her academic career – she set out to find what Lessing could teach her about how to be free.

Throughout, Feigel holds up her own experiences of marriage and motherhood in parallel to Lessing’s. She maintains a delicate balance between biographical and autobiographical information and brings in references to other writers – everyone from Rachel Cusk to D.H. Lawrence – to explore various opinions on maternal ambivalence and sexual fulfillment. I could relate to the bookworm’s impulse to turn to literature for comfort and direction – “the most enduring novelists … illuminate our lives,” and “we live differently as a result of reading them,” Feigel insists. Lessing seemed to her the perfect “writer to discover in your thirties; a writer who wrote about the lives of grown-up women with an honesty and fullness I had not found in any novelist before or since.”

And yet a familiarity with or fondness of the works of Doris Lessing is not a prerequisite to enjoying this book. I’ve only ever read The Golden Notebook (1962) and Alfred and Emily (2008), a fictionalized biography of Lessing’s parents, both during my mid-twenties. The former I almost certainly read before I could fully appreciate it. It’s about the ways in which women compartmentalize their lives and the struggle to bring various strands into harmony; that’s what Free Woman is all about as well. Feigel often looks for clues in Lessing’s heavily autobiographical Martha Quest novels, which I’d like to read, and also travels to California to meet one of Lessing’s lovers and to Zimbabwe to see the farm where Lessing grew up.

Like Samantha Ellis’s How to Be a Heroine and Rebecca Mead’s My Life in Middlemarch, this is a richly satisfying hybrid of biography, literary criticism and memoir. I would also recommend it to readers of Alexandra Fuller’s Don’t Let’s Go to the Dogs Tonight, Nancy Horan’s Loving Frank, and Adrienne Rich’s Of Woman Born. Feigel’s is a particularly brave and forthright book. I feel proud of her in an oddly personal way: during my years as a library assistant at King’s, I saw her chair countless literature and life writing events. She seemed impossibly young for a professor type, and wore her navy blue shift dress and string of pearls like it was her grown-up’s uniform. I can tell that the years since, including the difficult experiences she recounts here, have both softened and toughened her, sandpapering away what she calls her “diffident angularity” and replacing it with womanly wisdom.

My rating:

Free Woman was published by Bloomsbury UK on March 8th. My thanks to the publisher for the free copy for review.

Skybound: A Journey in Flight by Rebecca Loncraine

In 2016 it was When Breath Becomes Airby Paul Kalanithi; in 2017 it was The Bright Hour by Nina Riggs. And now Skybound. Each year seems to bring one exquisite posthumous memoir about facing a death from cancer with dignity. For Rebecca Loncraine, after treatment for breast cancer in her early thirties, taking flying lessons in an unpowered glider was her way of rediscovering joy and experiencing freedom by facing her fears in the sky.

She was a freelance writer based on her parents’ farm in the Black Mountains of Wales, an area that’s familiar to me from trips to Hay-on-Wye and from my reading of Bruce Chatwin’s On the Black Hill. The history and geography of the region, as revealed from the air, weave through the book, as do childhood memories and recollections of chemotherapy. Loncraine discovered a particular love for flying alongside birds: the red kites in Wales, and later vultures in Nepal. The most remarkable passages of the book are the exhilarating descriptions of being thousands of feet up in the air and the reflections on why humans are drawn to flight and what it does for our bodies and spirits. She learned from a British Airways pilot that 500,000 people are airborne at any one moment! We take for granted what should still be acknowledged as a miraculous feat.

“There’s no road in the sky. Each individual glider pilot finds a new pathless way through the air, a unique scribble. We locate a bit of ridge lift, here; fly out to a thermal, there; we wind and manoeuvre over the curving land. We never take the same route twice, so flight offers me a new perspective each time I fly.”

“Influenced by the ancient seam of human thought that associates the sky with the imagination, weaving and circling in the sky begins to feel like sailing through the realm of the subconscious itself.”

This hobby-turned-obsession was not without its inconveniences and dangers. Even when it’s warm at ground level it’s frigid at 13,000 feet, so you have to bundle up. Meanwhile, the strength of the sun means you keep guzzling water and have to wear either a urine-collecting device or adult diapers. The earliest attempts at unpowered flight were generally fatal, and when Loncraine went to New Zealand for a bonus season of flying to replace the Welsh winter, one of her fellow flyers died in a crash. Her instructor told her she’d become fearless, even reckless. But when she met one of the pioneers of gliding, then in his nineties, in New Zealand he spoke an aphorism that perfectly captures the role flying played for Loncraine: “The antidote to fear is fascination.”

There’s a brief afterword by Loncraine’s mother, Trisha. Her daughter had virtually finished this manuscript when the cancer returned, and underwent another 14 grueling months of treatment before her death in September 2016. This is a simply wonderful book; what a shame that we won’t get another.

My rating:

Skybound was published by Picador on April 19th. My thanks to the publisher for a proof copy for review.